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Franco F, Branchetti M, Vicchio L, Serino F, Piergentili M, Spagnuolo V, Santoro F, Virgili G, Giansanti F. Implantation of a Small Aperture Intraocular Lens in Eyes with Irregular Corneas and Higher Order Aberrations. JOVR [Internet]. 2022Aug.9 [cited 2024Apr.24];17(3):317–323. Available from: https://knepublishing.com/index.php/JOVR/article/view/11568

https://doi.org/10.18502/jovr.v17i3.11568

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authors

  • Fabrizio Franco

    Fabrizio Franco

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Marco Branchetti

    Marco Branchetti

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
    https://orcid.org/0000-0003-4242-4875
  • Lidia Vicchio

    Lidia Vicchio

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Federica Serino

    Federica Serino

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Marco Piergentili

    Marco Piergentili

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Vito Spagnuolo

    Vito Spagnuolo

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Francesca Santoro

    Francesca Santoro

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Gianni Virgili

    Gianni Virgili

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy
  • Fabrizio Giansanti

    Fabrizio Giansanti

    Department of Ophthalmology, Careggi Teaching Hospital, Florence, Italy

Published Date

  • Aug 9, 2022
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Implantation of a Small Aperture Intraocular Lens in Eyes with Irregular Corneas and Higher Order Aberrations

Journal of Ophthalmic and Vision Research (JOVR) / July–Sep 2022, Volume 17, Issue 3 / Pages 317–323

Abstract

Purpose: Corneal irregularities can lead to high order aberrations (HOAs) and may influence the outcomes in terms of intraocular lens (IOL) selection and visual acuity assessment. The aim of this study was to evaluate the visual acuity and satisfaction after IC-8 implants in patients characterized by corneal irregularities and HOAs who could not undergo refractive surgery due to the poor residual thickness of the cornea or other conditions such as astigmatism secondary to previous radial keratotomy.


Methods: This descriptive, retrospective cohort study was conducted on nine eyes in six patients affected by corneal irregularities and HOAs who had undergone IC-8 IOL implantation. The primary endpoint was the best-corrected visual acuity (BCVA), the subjective visual function, and the visual field.


Results: Nine eyes of six patients (three bilateral implantation) were enrolled. For each patient, BCVA, vision, and lifestyle quality were evaluated. In all patients, we noticed an improvement in all parameters without visual field defects.


Conclusion: Our work encourages the use of the IC8 lens to improve visual acuity in patients with irregular corneas and HOAs who cannot be treated with customized refractive surgery. Patients experience a subjective improvement of their quality of vision and also more self-confidence in their daily life. IC-8 lenses do not interfere with the visualization of retinal fundus and there is no impairment of the visual field detected by patients.

Keywords:

Aberrations, Cataract, IC-8, Pinhole

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